Evidence map›Paper›PMID 40513022›Full record

Trial reportInternational braz j urol : official journal of the Brazilian Society of Urology

Parasacral Transcutaneous Electrical Nerve Stimulation with Desmopressin Acetate for Treating Primary Monosymptomatic Enuresis: A Randomized Controlled Clinical Trial.

Melissa Faria Dutra, Eleonora Moreira Lima, José Bastos Murillo, Lidyanne Ilídia da Silva de Paula, José de Bessa, Amanda Lima Alves Pereira, Glaúcia Cristina Medeiros Dias, Mônica Maria de Almeida Vasconcelos, Flávia Cristina de Carvalho Mrad

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Melissa Faria DutraDepartamento de Pediatria Unidade de Nefrologia Pediátrica, Faculdade de Medicina, Hospital das Clínicas, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brasil.
Eleonora Moreira LimaDepartamento de Pediatria Unidade de Nefrologia Pediátrica, Faculdade de Medicina, Hospital das Clínicas, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brasil.
José Bastos MurilloDivisão de Urologia, Departamento de Cirurgia, Universidade Federal de Juiz de Fora - UFJF, Juiz de Fora, MG, Brasil.
Lidyanne Ilídia da Silva de PaulaDivisão de Urologia, Departamento de Cirurgia, Universidade Federal de Juiz de Fora - UFJF, Juiz de Fora, MG, Brasil.
José de BessaDepartamento de Urologia, Universidade Estadual de Feira de Santana -UEFS, Feira de Santana, BA, Brasil.
Amanda Lima Alves PereiraDepartamento de Pediatria Unidade de Nefrologia Pediátrica, Faculdade de Medicina, Hospital das Clínicas, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brasil.
Glaúcia Cristina Medeiros DiasDepartamento de Pediatria Unidade de Nefrologia Pediátrica, Faculdade de Medicina, Hospital das Clínicas, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brasil.
Mônica Maria de Almeida VasconcelosDepartamento de Pediatria Unidade de Nefrologia Pediátrica, Faculdade de Medicina, Hospital das Clínicas, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brasil.
Flávia Cristina de Carvalho MradDepartamento de Pediatria Unidade de Nefrologia Pediátrica, Faculdade de Medicina, Hospital das Clínicas, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeApproximately one-third of the children with primary monosymptomatic enuresis (PMNE) do not respond to first-line treatment. We aimed to investigate the short-term and six-month effectiveness of combining desmopressin acetate with parasacral transcutaneous electrical nerve stimulation (PTENS) in these children and adolescents. MATERIALS AND

methodsParticipants aged six-17 years with PMNE were randomly assigned to receive desmopressin acetate with active or sham PTENS. Both groups participated in weekly 30-minute electrotherapy sessions for 15 weeks. The intervention group (IG) received electrotherapy at a frequency of 10 Hz and pulse width of 700 µs. A dry and wet nights calendar assessed the frequency of wet nights in the short term and six months after the intervention ended.

resultsOf 66 participants, 34 were randomized to the IG. The median age was 10.3 years (8.8 - 12), and 53% were male. Intention-to-treat analysis showed a significant reduction in the frequency of wet nights after the interventions (p < 0.001) in both groups, with the IG demonstrating significant improvement, immediately after the interventions (p=0.005) and after six months (p< 0.001) compared to the placebo group (PG). The Kaplan-Meier survival analysis showed improvement in the IG that became more pronounced from the 15th week onwards (log-rank test, p < 0.01).  Conclusions: A 15-week treatment with desmopressin acetate and PTENS significantly reduced wet nights in children and adolescents with PMNE, and this improvement was maintained six months after the interventions.

Indexed as

Antidiuretic AgentsDeamino Arginine VasopressinNocturnal EnuresisTranscutaneous Electric Nerve StimulationAdolescentChildCombined Modality TherapyFemaleHumansMaleTime FactorsTreatment OutcomeAntidiuretic AgentsDeamino Arginine VasopressinEnuresis, Transcutaneous Electric Nerve Stimulation, Randomized Controlled Trials as Topic

Identifiers

PMID40513022
PMCPMC12539884

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.